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RDepa'rttncnl of (@ evenue ~ <br />Washington State <br />Levy Certification DEC 18 ~):ln <br />" ,; <br />Submit this document to the county legislative authority on or before November 30 of the year preceding <br />the year in which the levy amounts are to be collected and forward a copy to the assessor. <br />In accordance with RCW 84.52.020, I, James L. DeVere ~~~~~~~-----------------------------(Name) <br />______________ ~~a~y~o~r ______________ ,for <br />(Title) <br />__ ----'T:...,:o:...,;.w.;,.:n.:...o;:,,;f:...,;S.:...o:..;u::.:;th:.:....::C;,.:,le:::....:::E;;.:.lu:::::m=-=-----__ , do hereby certify to <br />(District Name) <br />the Kittitas County legislative authority that the South Cle Elum Town Council ------------~~--------- <br />(Name of County) (Commissioners, Council, Board, etc.) <br />of said district requests that the following levy amounts be collected in 2018 as provided in the district's <br />(Year of Collection) <br />budget, which was adopted following a public hearing held on 12/05/17 <br />(Date of Public Hearing) <br />Regular Levy: $119,000.00 <br />(State the total dollar amount to be levied) <br />Excess Levy: <br />(State the total dollar amount to be levied) <br />Refund Levy : <br />(State the total dollar amount to be levied) <br />Signature: Date: 12/05/17 <br />To ask about the availability of this publication in an alternate fonnat for the visually impaired, please call (360) 705-6715 . <br />Teletype (TTY) users, please call (360) 705-6718. For tax assistance, call (360) 534-1400. <br />REV 64 DIODe (w) (2/21112)